Psychiatric comorbidity in Prader-Willi syndrome. A case of atypical bipolar disorder
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https://doi.org/10.31766/revpsij.v33n1a5Keywords:
Prader-Willi syndrome, Bipolar Disorder, Cycloid Psychosis, LithiumAbstract
Prader-Willi syndrome (PWS) is a known neurodevelopmental genetic disorder secondary to lack of expression of the genes of the 15q11-q13 region allele of paternal origin, with an estimated prevalence of 1:25000 births. It is characterized by the presence of dysmorphia, short stature, hypogonadism, overweight, and a behavioral phenotype with learning disabilities, mental retardation, rituals, stereotypies and compulsive behaviors, skin-picking, frequent tantrums, irritability, and hyperphagia. The SPW is also associated with an increased risk of psychiatric symptoms, most notably by its severity psychoses and affective disorders.
It is presented the case of a 12-years-old male diagnosed with SPW in which suddenly appears an atypical psychotic episode, discussing both its diagnosis and therapeutic intervention in the light of the published scientific literature.
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